Medical data classification using interval type-2 fuzzy logic system and wavelets

Fuzzy Cognitive Map Applications in Medicine over the Last Two Decades: A Review Study

Fuzzy Cognitive Maps (FCMs) have become an invaluable tool for healthcare providers because they can capture intricate associations among variables and generate precise predictions. FCMs have demonstrated their utility in diverse medical applications, from disease diagnosis to treatment planning and prognosis prediction. Their ability to model complex relationships between symptoms, biomarkers, risk factors, and treatments has enabled healthcare providers to make informed decisions, leading to better patient outcomes. This review article provides a thorough synopsis of using FCMs within the medical domain. A systematic examination of pertinent literature spanning the last two decades forms the basis of this overview, specifically delineating the diverse applications of FCMs in medical realms, including decision-making, diagnosis, prognosis, treatment optimisation, risk assessment, and pharmacovigilance. The limitations inherent in FCMs are also scrutinised, and avenues for potential future research and application are explored.

Application of uncertainty quantification to artificial intelligence in healthcare: A review of last decade (2013-2023)

Uncertainty estimation in healthcare involves quantifying and understanding the inherent uncertainty or variability associated with medical predictions, diagnoses, and treatment outcomes. In this era of Artificial Intelligence (AI) models, uncertainty estimation becomes vital to ensure safe decision-making in the medical field. Therefore, this review focuses on the application of uncertainty techniques to machine and deep learning models in healthcare. A systematic literature review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Our analysis revealed that Bayesian methods were the predominant technique for uncertainty quantification in machine learning models, with Fuzzy systems being the second most used approach. Regarding deep learning models, Bayesian methods emerged as the most prevalent approach, finding application in nearly all aspects of medical imaging. Most of the studies reported in this paper focused on medical images, highlighting the prevalent application of uncertainty quantification techniques using deep learning models compared to machine learning models. Interestingly, we observed a scarcity of studies applying uncertainty quantification to physiological signals. Thus, future research on uncertainty quantification should prioritize investigating the application of these techniques to physiological signals. Overall, our review highlights the significance of integrating uncertainty techniques in healthcare applications of machine learning and deep learning models. This can provide valuable insights and practical solutions to manage uncertainty in real-world medical data, ultimately improving the accuracy and reliability of medical diagnoses and treatment recommendations.

Intelligent Fuzzy System to Predict the Wisconsin Breast Cancer Dataset

Decision Support Systems (DSSs) are solutions that serve decision-makers in their decision-making process. For the development of these intelligent systems, two primary components are needed: the knowledge database and the knowledge rule base. The objective of this research work was to implement and validate diverse clinical decision support systems supported by Mamdani-type fuzzy set theory using clustering and dynamic tables. The outcomes were evaluated with other works obtained from the literature to validate the suggested fuzzy systems for categorizing the Wisconsin breast cancer dataset. The fuzzy Inference Systems worked with different input features, according to the studies obtained from the literature. The outcomes confirm that most performance' metrics in several cases were greater than the achieved results from the literature for the output variable for the different Fuzzy Inference Systems-FIS, demonstrating superior precision.

Feature Selection and Dwarf Mongoose Optimization Enabled Deep Learning for Heart Disease Detection

Heart disease causes major death across the entire globe. Hence, heart disease prediction is a vital part of medical data analysis. Recently, various data mining and machine learning practices have been utilized to detect heart disease. However, these techniques are inadequate for effectual heart disease prediction due to the deficient test data. In order to progress the efficacy of detection performance, this research introduces the hybrid feature selection method for selecting the best features. Moreover, the missed value from the input data is filled with the quantile normalization and missing data imputation method. In addition, the best features relevant to disease detection are selected through the proposed hybrid Congruence coefficient Kumar–Hassebrook similarity. In addition, heart disease is predicted using SqueezeNet, which is tuned by the dwarf mongoose optimization algorithm (DMOA) that adapts the feeding aspects of dwarf mongoose. Moreover, the experimental result reveals that the DMOA-SqueezeNet method attained a maximum accuracy of 0.925, sensitivity of 0.926, and specificity of 0.918.

Diagnosing Breast Cancer Based on the Adaptive Neuro-Fuzzy Inference System

In this work, a novel hybrid neuro-fuzzy classifier (HNFC) technique is proposed for producing more accuracy in input data classification. The inputs are fuzzified using a generalized membership function. The fuzzification matrix helps to create connectivity between input pattern and degree of membership to various classes in the dataset. According to that, the classification process is performed for the input data. This novel method is applied for ten number of benchmark datasets. During preprocessing, the missing data is replaced with the mean value. Then, the statistical correlation is applied for selecting the important features from the dataset. After applying a data transformation technique, the values normalized. Initially, fuzzy logic has been applied for the input dataset; then, the neural network is applied to measure the performance. The result of the proposed method is evaluated with supervised classification techniques such as radial basis function neural network (RBFNN) and adaptive neuro-fuzzy inference system (ANFIS). Classifier performance is evaluated by measures like accuracy and error rate. From the investigation, the proposed approach provided 86.2% of classification accuracy for the breast cancer dataset compared to other two approaches.

Handling of uncertainty in medical data using machine learning and probability theory techniques: a review of 30 years (1991-2020)

Understanding the data and reaching accurate conclusions are of paramount importance in the present era of big data. Machine learning and probability theory methods have been widely used for this purpose in various fields. One critically important yet less explored aspect is capturing and analyzing uncertainties in the data and model. Proper quantification of uncertainty helps to provide valuable information to obtain accurate diagnosis. This paper reviewed related studies conducted in the last 30 years (from 1991 to 2020) in handling uncertainties in medical data using probability theory and machine learning techniques. Medical data is more prone to uncertainty due to the presence of noise in the data. So, it is very important to have clean medical data without any noise to get accurate diagnosis. The sources of noise in the medical data need to be known to address this issue. Based on the medical data obtained by the physician, diagnosis of disease, and treatment plan are prescribed. Hence, the uncertainty is growing in healthcare and there is limited knowledge to address these problems. Our findings indicate that there are few challenges to be addressed in handling the uncertainty in medical raw data and new models. In this work, we have summarized various methods employed to overcome this problem. Nowadays, various novel deep learning techniques have been proposed to deal with such uncertainties and improve the performance in decision making.

Decision tree-based diagnosis of coronary artery disease: CART model

BACKGROUND AND OBJECTIVE

As the most common cardiovascular defect, coronary artery disease (CAD), also called ischemic heart disease, is one of the substantial causes of death globally. Several diagnosis approaches such as baseline electrocardiography, echocardiography, magnetic resonance imaging, and coronary angiography are suggested for screening the suspected patients that may suffer from CAD. However, applying such methods may have health side effects and/or expensive costs.

METHODS

As an alternative to the available diagnosis tools/methods, this research involves a decision tree learning algorithm called classification and regression tree (CART) for a simple and reliable diagnosis of CAD. Several CART models are developed based on the recently CAD dataset published in the literature.

RESULTS

Utilizing all the features of the dataset (55 independent parameters), it was found that only 40 independent parameters influence the CAD diagnosis and consequently development of the predictive model. Based on the feature importance obtained from the first CART model, three new CART models are then developed using 18, 10, and 5 selected features. Except for the five-feature CART model, the outcomes of developed CART models demonstrate the maximum achievable accuracy, sensitivity, and specificity for CAD diagnosis (100%), while comparing the predictions with the reported targets. The error analysis reveals that the literature models including sequential minimal optimization (SMO), bagging SMO, Naïve Bayes (NB), artificial neural network (ANN), C4.5, J48, Bagging, and ANN in conjunction with the genetic algorithm (GA) do not outperform the CART methodology in classifying patients as normal or CAD.

CONCLUSIONS

Hence, the robustness of the tree-based algorithm in accurate and fast predictions is confirmed, implying the proposed classification technique can be successfully utilized to develop a coherent decision-making system for the CAD diagnosis.

An Enhancement in Cancer Classification Accuracy Using a Two-Step Feature Selection Method Based on Artificial Neural Networks with 15 Neurons

An artificial neural network (ANN) is a tool that can be utilized to recognize cancer effectively. Nowadays, the risk of cancer is increasing dramatically all over the world. Detecting cancer is very difficult due to a lack of data. Proper data are essential for detecting cancer accurately. Cancer classification has been carried out by many researchers, but there is still a need to improve classification accuracy. For this purpose, in this research, a two-step feature selection (FS) technique with a 15-neuron neural network (NN), which classifies cancer with high accuracy, is proposed. The FS method is utilized to reduce feature attributes, and the 15-neuron network is utilized to classify the cancer. This research utilized the benchmark Wisconsin Diagnostic Breast Cancer (WDBC) dataset to compare the proposed method with other existing techniques, showing a significant improvement of up to 99.4% in classification accuracy. The results produced in this research are more promising and significant than those in existing papers.

Framework for the Development of Data-Driven Mamdani-Type Fuzzy Clinical Decision Support Systems

Clinical decision support systems (CDSS) have been designed, implemented, and validated to help clinicians and practitioners for decision-making about diagnosing some diseases. Within the CDSSs, we can find Fuzzy inference systems. For the reasons above, the objective of this study was to design, to implement, and to validate a methodology for developing data-driven Mamdani-type fuzzy clinical decision support systems using clusters and pivot tables. For validating the proposed methodology, we applied our algorithms on five public datasets including Wisconsin, Coimbra breast cancer, wart treatment (Immunotherapy and cryotherapy), and caesarian section, and compared them with other related works (Literature). The results show that the Kappa Statistics and accuracies were close to 1.0% and 100%, respectively for each output variable, which shows better accuracy than some literature results. The proposed framework could be considered as a deep learning technique because it is composed of various processing layers to learn representations of data with multiple levels of abstraction.

Real-Time Fault-Tolerant mHealth System: Comprehensive Review of Healthcare Services, Opens Issues, Challenges and Methodological Aspects

The burden on healthcare services in the world has increased substantially in the past decades. The quality and quantity of care have to increase to meet surging demands, especially among patients with chronic heart diseases. The expansion of information and communication technologies has led to new models for the delivery healthcare services in telemedicine. Therefore, mHealth plays an imperative role in the sustainable delivery of healthcare services in telemedicine. This paper presents a comprehensive review of healthcare service provision. It highlights the open issues and challenges related to the use of the real-time fault-tolerant mHealth system in telemedicine. The methodological aspects of mHealth are examined, and three distinct and successive phases are presented. The first discusses the identification process for establishing a decision matrix based on a crossover of 'time of arrival of patient at the hospital/multi-services' and 'hospitals' within mHealth. The second phase discusses the development of a decision matrix for hospital selection based on the MAHP method. The third phase discusses the validation of the proposed system.

Analytical fuzzy approach to biological data analysis

The assessment of the physiological state of an individual requires an objective evaluation of biological data while taking into account both measurement noise and uncertainties arising from individual factors. We suggest to represent multi-dimensional medical data by means of an optimal fuzzy membership function. A carefully designed data model is introduced in a completely deterministic framework where uncertain variables are characterized by fuzzy membership functions. The study derives the analytical expressions of fuzzy membership functions on variables of the multivariate data model by maximizing the over-uncertainties-averaged-log-membership values of data samples around an initial guess. The analytical solution lends itself to a practical modeling algorithm facilitating the data classification. The experiments performed on the heartbeat interval data of 20 subjects verified that the proposed method is competing alternative to typically used pattern recognition and machine learning algorithms.